E-PARTOGRAPH APPLICATION USING DHIS2 PLATFORM FOR MONITORING THE
PROGRESS OF LABOUR
RBMCH division ICMR is doing an ongoing research study to monitor the progress of labour and the benefits of plotting Partograph
to minimize the complications during labour and maternal mortality. A partograph differentiates normal from abnormal progress in
labour and identifies women likely to require intervention. Having a digital partograph plotted at the point of care allows
active management of labour and with the intervention of technology it becomes easier to track non-progressive labour or any
complications during the labour. Early and immediate identification of complications allows immediate intervention which can
help prevent maternal mortality.
For the same research ICMR chose HISP India to develop an application to plot e-Partograph using android devices at the point of care.
E-Partograph application has been developed by HISP India in collaboration with ISRM/RBMCH/ICMR using one of the widely used open
source Health Informatics platform called DHIS2 (District Health Information System).
FEATURES OF E-PARTOGRAPH APPLICATION
E-Partograph application developed using DHIS2 allows the provider to record and store patient’s data at the point of care.
The pregnant female can be registered into the application as soon as she arrives at the facility. The admission findings,
obstetric details, History of complications, Family History, Cervical dilatation details etc. can be recorded directly into the application.
The detailed features of the application are mentioned below:
- The E- partograph allows the registration of females as soon as they arrive at the facility for delivery.
- Allows tracking of the longitudinal record of the female across all visits.
- Allows the data to be captured offline in places where internet connectivity is not available.Data is immediately
synced to the server once the internet connectivity is restored.
- This application allows the user to capture location coordinates of the place where delivery is being conducted
and thus the spatial distribution of the beneficiaries can be seen on the default GIS app.
- The Vital stats of the female can be recorded multiple times at various stages to track the progress of labour.
- It allows plotting of e-Partograph where the cervical dilation can be recorded at periodic intervals. The graph
is plotted automatically as the cervical dilatation details are entered which helps in monitoring the progress
of labour during the active phase as well as if the readings cross the alert and action lines. It is a graphical
record of cervical dilatation in centimetres against duration of labour in hours.
- As soon as the readings cross the action and alert lines, the registered care provider receives an SMS which gives
the details of labour (Cervical dilatation, Foetal heart rate etc.) and gives a link to view the partograph on the mobile
device. The user can login application and view the partograph.
- It allows tracking of female’s health statistics during all 3 distinct phases of labour as well as during the recovery
phase. Reports are used to track the difference in the statistics during all the phases to help in easy recovery and to
prevent complications and maternal mortality.
- Captures details of the baby/babies as well as postpartum details of the female. Details of the babies including
Mode of delivery, any deformity, anomalies, essential drugs given are captured. Allows to capture Mother’s and child’s
status after delivery or the referral details.
- If need arises, a discharge card can be generated from the application directly and can be given to the female when she is discharged.
- Allows live tracking of the statistics and gives reports on the data e.g.: Number of females admitted to the facility,
complications observed in labour, number of females stayed at facility overnight, Number of children born etc. via the creation
of charts, tables and maps which can be presented in form of a dashboard.